Diet modification challenges faced by marginalized and nonmarginalized adults with type 2 diabetes: A systematic review and qualitative meta-synthesis

Vanstone, Meredith; Rewegan, Alex; Brundisini, Francesca; Giacomini, Mita; Kandasamy, Sujane; DeJean, Deirdre

doi:10.1177/1742395316675024

Cited by 58 publications

(84 citation statements)

References 137 publications

(946 reference statements)

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“…Barriers encountered by students as discussed in week two reflect a number of generic personal and social challenges people often encounter when trying to change behaviour (Vanstone et al, 2013) and have been found when exploring perceived and real barriers to climate friendly food choices (Mäkiniemi and Vainio, 2014). Developing this insight through reflecting on personal experience and developing solutions may be important to assist students to better understand food consumption, enabling and unsupportive factors, as well as the broader determinants of sustainable food practices.…”

Section: Discussionmentioning

confidence: 99%

Experiential learning for engaging nutrition undergraduates with sustainability

Maher

Burkhart

2017

IJSHE

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This paper describes students' self-reported learning from engaging in an experiential learning task designed to develop their understanding of sustainable food systems and dietary practices. Design/Methodology/Approach One hundred and forty three first year students enrolled in an entry level food and nutrition subject undertook a three week eco-friendly food challenge (1. Reduce food (& food related) waste; 2. Localise food purchases; 3. Eat seasonally & sustainably; or 4. Reduce meat consumption). They blogged about their experience and responded to an action-orientated reflective question each week. Content analysis of the blogs was undertaken using NVivo 10. Content was systematically coded and categorised according to action/activity, learning and response to reflective questions. Findings Students reported undertaking a range of self-selected practical activities throughout the challenge. Self-reported learning suggested students gained self-awareness and knowledge, and demonstrated problem solving abilities. The importance of planning and preparation was the most common theme in students' blogs when responding to the action-orientated reflective question in week one. In week two students identified socially-mediated barriers and the time and energy required to undertake their challenge as the most likely barriers preventing others engaging in more sustainable food behaviours. They provided advice and solutions to overcome these barriers. In week three a range of community, government and multi-sector initiatives to support consumer food-related behaviour change were identified. Originality/Value This approach presents a possible means for engaging nutrition undergraduates with environmental sustainability.

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Section: Discussionmentioning

confidence: 99%

Experiential learning for engaging nutrition undergraduates with sustainability

Maher

Burkhart

2017

IJSHE

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“…We included ethnic minorities as vulnerable populations, along with those of low socioeconomic status or living within a limited-resources setting, as these have been identified widely as fundamental causes of increased susceptibility or vulnerability to disease conditions and/or with socioeconomic obstacles to receiving appropriate and timely health care 17,18 .…”

Section: Methodsmentioning

confidence: 99%

Resilience in Vulnerable Populations With Type 2 Diabetes Mellitus and Hypertension: A Systematic Review and Meta-analysis

Pesantes¹,

Lazo-Porras²,

Dabrh³

et al. 2015

Canadian Journal of Cardiology

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Background Patients with chronic conditions and limited access to healthcare experience stressful challenges due to the burden of managing both their conditions and their daily life demands. Resilience provides a mechanism of adapting to stressful experiences. We conducted a systematic review and meta-analysis to synthesize the evidence about interventions to enhance resiliency in managing hypertension or type-2 diabetes in vulnerable populations, and to assess the efficacy of these interventions on clinical outcomes. Methods We searched multiple databases from early inception through February 2015 including randomized controlled trials that enrolled patients with type-2 diabetes or hypertension. All interventions that targeted resilience in vulnerable populations were included. Data were synthesized to describe the characteristics and efficacy of resilience interventions. We pooled the total effects by calculating standardized mean difference using the random-effects model. Results The final search yielded seventeen studies. All studies were conducted in the United States and generally targeted minority participants. Resiliency interventions used diverse strategies; discussion groups or workshops were the most common approach. Conclusions Interventions aimed at enhancing the resiliency of patients from vulnerable groups are diverse. Outcomes were not fully conclusive. There was some evidence that resilience interventions had a positive effect on HbA1c levels, but not blood pressure. The incorporation of resiliency-oriented interventions into the arsenal of prevention and management of chronic conditions appears to be an opportunity that remains to be better investigated and exploited, and there is need to pursue further understanding of the core components of any intervention that claims to enhance resilience.

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“…However, as T2DM is a chronic condition it confronts people with new and demanding situations that require ability to tackle these challenges when needed. For example, a qualitative meta-synthesis by Vanstone et al (2017) reports that adults with T2DM have a number of different challenges when it comes to diet modification. As food has a central role in life, dietary changes affect several aspects of a person's life and generate challenges related to self-discipline, emotions, family and social support ( Vanstone et al, 2017).…”

Section: Introductionmentioning

confidence: 99%